Kidney transplantation from a living donor with renal artery fibromuscular dysplasia: A case report on arterial grafting of the donor renal artery

Introduction Renal artery fibromuscular dysplasia is generally considered a contraindication of kidney transplantation, since fibromuscular dysplasia occasionally induces hypertension or renal insufficiency in the recipient and/or donor. To date, limited information remains available with respect to...

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Main Authors: Yuto Matsushita, Daisuke Motoyama, Toshiki Ito, Takayuki Sugiyama, Atsushi Otsuka, Masaki Sano, Kazunori Inuzuka, Hideaki Miyake
Format: Article
Language:English
Published: Wiley 2020-09-01
Series:IJU Case Reports
Subjects:
Online Access:https://doi.org/10.1002/iju5.12188
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author Yuto Matsushita
Daisuke Motoyama
Toshiki Ito
Takayuki Sugiyama
Atsushi Otsuka
Masaki Sano
Kazunori Inuzuka
Hideaki Miyake
author_facet Yuto Matsushita
Daisuke Motoyama
Toshiki Ito
Takayuki Sugiyama
Atsushi Otsuka
Masaki Sano
Kazunori Inuzuka
Hideaki Miyake
author_sort Yuto Matsushita
collection DOAJ
description Introduction Renal artery fibromuscular dysplasia is generally considered a contraindication of kidney transplantation, since fibromuscular dysplasia occasionally induces hypertension or renal insufficiency in the recipient and/or donor. To date, limited information remains available with respect to whether kidneys with renal arterial fibromuscular dysplasia can be successfully transplanted. Case presentation A 53‐year‐old potential donor was diagnosed with fibromuscular dysplasia of the right renal artery. Laparoscopic right nephrectomy was performed, and the affected portion was resected and reconstructed using the harvested internal iliac artery. Transplantation was successful and the serum creatinine level was <2 mg/dL for 3 years after surgery. Conclusion If reconstruction of the diseased artery could be safely performed, transplantation using a kidney from a donor with renal artery fibromuscular dysplasia may be considered.
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spelling doaj.art-3bee37fff45e43858454f3cd8401a5a12022-12-22T00:16:25ZengWileyIJU Case Reports2577-171X2020-09-013520120310.1002/iju5.12188Kidney transplantation from a living donor with renal artery fibromuscular dysplasia: A case report on arterial grafting of the donor renal arteryYuto Matsushita0Daisuke Motoyama1Toshiki Ito2Takayuki Sugiyama3Atsushi Otsuka4Masaki Sano5Kazunori Inuzuka6Hideaki Miyake7Departments of Department of UrologyHamamatsu University School of MedicineHamamatsu Shizuoka JapanDepartments of Department of UrologyHamamatsu University School of MedicineHamamatsu Shizuoka JapanDepartments of Department of UrologyHamamatsu University School of MedicineHamamatsu Shizuoka JapanDepartments of Department of UrologyHamamatsu University School of MedicineHamamatsu Shizuoka JapanDepartments of Department of UrologyHamamatsu University School of MedicineHamamatsu Shizuoka JapanDepartment of Vascular Surgery Hamamatsu University School of Medicine Hamamatsu Shizuoka JapanDepartment of Vascular Surgery Hamamatsu University School of Medicine Hamamatsu Shizuoka JapanDepartments of Department of UrologyHamamatsu University School of MedicineHamamatsu Shizuoka JapanIntroduction Renal artery fibromuscular dysplasia is generally considered a contraindication of kidney transplantation, since fibromuscular dysplasia occasionally induces hypertension or renal insufficiency in the recipient and/or donor. To date, limited information remains available with respect to whether kidneys with renal arterial fibromuscular dysplasia can be successfully transplanted. Case presentation A 53‐year‐old potential donor was diagnosed with fibromuscular dysplasia of the right renal artery. Laparoscopic right nephrectomy was performed, and the affected portion was resected and reconstructed using the harvested internal iliac artery. Transplantation was successful and the serum creatinine level was <2 mg/dL for 3 years after surgery. Conclusion If reconstruction of the diseased artery could be safely performed, transplantation using a kidney from a donor with renal artery fibromuscular dysplasia may be considered.https://doi.org/10.1002/iju5.12188arterial graftfibromuscular dysplasialiving donor kidney transplantation
spellingShingle Yuto Matsushita
Daisuke Motoyama
Toshiki Ito
Takayuki Sugiyama
Atsushi Otsuka
Masaki Sano
Kazunori Inuzuka
Hideaki Miyake
Kidney transplantation from a living donor with renal artery fibromuscular dysplasia: A case report on arterial grafting of the donor renal artery
IJU Case Reports
arterial graft
fibromuscular dysplasia
living donor kidney transplantation
title Kidney transplantation from a living donor with renal artery fibromuscular dysplasia: A case report on arterial grafting of the donor renal artery
title_full Kidney transplantation from a living donor with renal artery fibromuscular dysplasia: A case report on arterial grafting of the donor renal artery
title_fullStr Kidney transplantation from a living donor with renal artery fibromuscular dysplasia: A case report on arterial grafting of the donor renal artery
title_full_unstemmed Kidney transplantation from a living donor with renal artery fibromuscular dysplasia: A case report on arterial grafting of the donor renal artery
title_short Kidney transplantation from a living donor with renal artery fibromuscular dysplasia: A case report on arterial grafting of the donor renal artery
title_sort kidney transplantation from a living donor with renal artery fibromuscular dysplasia a case report on arterial grafting of the donor renal artery
topic arterial graft
fibromuscular dysplasia
living donor kidney transplantation
url https://doi.org/10.1002/iju5.12188
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